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SCII@dIJI@ C 7ype or priM in tnk. SCHEDULE C <br /> Amounb may be rounded <br /> Nonmonetary Contributions Received to whole doliara. Statement covers period , , <br /> trom � - 1 - Zv iZ • � � � • � <br /> (v-3 U -- Ze P2 <br /> SEE INSTRUCTIONS ON REVERSE through psga � ot�_ <br /> NAME OF FltER <br /> I.D.NUMBER <br /> �r �'.2 v�ds a� l�e�cv C� ' �}G l 2 � 6 � 6 v' <br /> IFANINDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO pERELECTION <br /> DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR DE6CRIPTION OF DATE <br /> RECEIVED 21P CODE OF CONTRIBUTOR CODE* �CUPATtON AND EMPLOYER GOOD3 OR$ERVICE& FAIR MARKET CALENDAR YEAR �DATE <br /> QF COMMITfEE,A180 ENTBR IA.NUMBER) (�F B��R�EMPIAYE�,ENTER VALUE (IF REQUiRED) <br /> • NAME OF 9USINESS) (JAN 1-DEC 31) <br /> ❑�� <br /> 0� <br /> ❑oni <br /> OPTM <br /> Os�'� <br /> ❑iNo <br /> . ❑c�+ . <br /> ❑� <br /> ❑PN <br /> ❑� <br /> ❑IND <br /> ❑COM <br /> ❑on� <br /> �� <br /> ❑scc <br /> ❑IND <br /> ❑� <br /> ❑orr+ <br /> ❑Prr <br /> ❑s� <br /> Attech addltional information on approprisfety/abeled continuation sheefs. 3U8TOTAL$ <br /> Schedule C Summary •Contrlbutor Codea <br /> 1. Amount received this period-itemized nonmonetary contributions. IND—Indhridual <br /> (Include all Schedule C subtotais.).....................................................................................................................$ a" COM-RedptentCommittee <br /> (other than PTY or SCC) <br /> 2. Amount received this period-unitemized nonmonetary contributions of less than$100 ....................................$ J'�6 oTM-otner(e.9.,business entity) <br /> PTY—Political PaKy <br /> 3. Total nonmonetary contributions received this period. s-� ScC-Smau cont�butorcommmee <br /> (Add Linea 1 and 2.Enter here and on the Summary Page,Column A, Lines 4 and 10.) ...............:......TOTAL s <br /> FPPC Form 460(January/OS) <br /> FPPC Tofl-Free Helpline:886/ASK-FPPC(8661275-3772j <br />